Provider Demographics
NPI:1679559991
Name:LOPEZ-ROCA, ARGELIO A (MD CCHP)
Entity type:Individual
Prefix:DR
First Name:ARGELIO
Middle Name:A
Last Name:LOPEZ-ROCA
Suffix:
Gender:M
Credentials:MD CCHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 366081
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-6081
Mailing Address - Country:US
Mailing Address - Phone:787-363-8934
Mailing Address - Fax:787-250-8639
Practice Address - Street 1:524 CALLE JUAN J JIMENEZ
Practice Address - Street 2:URB. PARQUE CENTRAL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00918-2605
Practice Address - Country:US
Practice Address - Phone:787-250-1168
Practice Address - Fax:787-250-8639
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR77522084P0804X
MI43010671712084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR29524OtherTRIPLE S,INC
PR066436OtherLA CRUZ AZUL DE PR